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Priyanka Gohil, profile picture
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Unstable lie

La presentación del feto puede cambiar constantemente después de la 36ª semana de embarazo, lo que se debe a varias condiciones como la falta de tono uterino o problemas con la placenta. En cada visita prenatal, se debe verificar la presentación y, de ser posible, realizar una versión externa para corregir la malpresentación. Si hay complicaciones, se puede realizar una cesárea electiva y se debe iniciar la inducción del trabajo de parto para estabilizar la situación del feto.

Health & Medicine◦
BY, MS.PRIYANKA GOHIL M.Sc. (N) OBG PhD Scholar, MBNC, UTU
• This is a condition where the presentation of the fetus is constantly changed even beyond 36th week of pregnancy when it should been stabilized.
• The causes are those which prevent the presenting part to remain fixed in the lower pole of the uterus. • Such conditions are:- – Grandmultipara with lack of uterine tone and pendulous abdomen – Hydromnios – Contracted pelvis – Placenta previa – Pelvic tumor
COMPLICATIONS Cord Entanglement Perinatal Death Cord Prolapse
ANTENATAL: • At each antenatal visit, the presentation and the lie are to be checked. • If there is no contraindication, external version is to be done to correct the malpresentation.
: • The patient has to be admitted at 37th week • Premature or early rupture of the membranes with cord prolapse is the real danger with the lie remaining obligue. • After admission, the investigation is directed to exclude placenta previa, contracted pelvis or congenital malformation of the fetus with the help of sonography for localization of placenta
• Elective cesarean section (in case of complication) • Stabilizing induction of labor: – External Cephalic version is done after 37 weeks:- oxytocin infusion is started to initiate effective uterine contraction – Followed by low rupture of membrane – Monitoring of labour – Procedure can be done even after the spontaneous onset of labour
Unstable lie